Montana › Yellowstone County › Billings
Skyline Heights Nursing and Rehabilitation
1807 24th St W, Billings, MT 59102
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Skyline Heights Nursing and Rehabilitation, in Billings, Montana, is certified for 150 beds under for-profit, limited liability company ownership and belongs to the Eduro Healthcare chain.
CMS gives it 1 of 5 stars overall, below the Montana median of 3; the health inspection rating is 1, staffing 2 and quality measures 1.
Inspectors recorded 63 health deficiencies across the three most recent survey cycles (15, 26, 22 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 42.0 per 100 beds, about the same as the state median of 40.0.
CMS lists 6 penalties in the period covered: fines totalling $414K and 1 payment denial.
Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Montana median of 3.9; nursing staff turnover is 74.7%.
CMS flags that the facility is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Yellowstone Co. median | Montana median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 63 | 52 | 27 | 28.7 |
| Citations per 100 beds | 42.0 | 42.0 | 40.0 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.9 | 3.9 |
| RN hours per resident day | 0.5 | 0.6 | 0.9 | 0.7 |
| Nursing staff turnover | 74.7% | 71.8% | 53.4% | 45.8% |
| Fines listed | $413,752 | $80,893 | $27,013 | — |
County and state figures are medians across facilities (7 in the county, 61 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Montana average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Mar 2026, 30 Jan 2025.
Severity mix: J ×1 G ×6 D ×32 E ×13 F ×9 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 23 Apr 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Complaint investigation | 15 May 2026 |
| 12 Mar 2026 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 14 May 2026 |
| 12 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Apr 2026 |
| 12 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 3 Apr 2026 |
| 12 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 3 Apr 2026 |
| 12 Mar 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 3 Apr 2026 |
| 12 Mar 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 3 Apr 2026 |
| 12 Mar 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 2 Apr 2026 |
| 12 Mar 2026 | F0732 | Post nurse staffing information every day. | B | Standard survey | 3 Apr 2026 |
| 31 Dec 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 20 Jan 2026 |
| 31 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Jan 2026 |
| 31 Dec 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 20 Jan 2026 |
| 19 Nov 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 27 Nov 2025 |
| 19 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | G | Complaint investigation | 27 Nov 2025 |
| 19 Nov 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | G | Complaint investigation | 27 Nov 2025 |
| 27 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 28 Apr 2025 |
| 27 Mar 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 19 Apr 2025 |
| 27 Mar 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 25 Jun 2025 |
| 27 Mar 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Complaint investigation | 19 Apr 2025 |
| 27 Mar 2025 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 19 Apr 2025 |
| 30 Jan 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 21 Feb 2025 |
| 30 Jan 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 21 Feb 2025 |
| 30 Jan 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | F | Standard survey | 25 Mar 2025 |
| 30 Jan 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 25 Jun 2025 |
| 30 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 25 Mar 2025 |
| 30 Jan 2025 | F0791 | Provide or obtain dental services for each resident. | E | Standard survey | 27 Mar 2025 |
| 30 Jan 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 25 Jun 2025 |
| 30 Jan 2025 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | E | Standard survey | 27 Mar 2025 |
| 30 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Feb 2025 |
| 30 Jan 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 26 Mar 2025 |
| 30 Jan 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 21 Feb 2025 |
| 30 Jan 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Jun 2025 |
| 30 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Mar 2025 |
| 30 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 Feb 2025 |
| 30 Jan 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 21 Feb 2025 |
| 30 Jan 2025 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 21 Feb 2025 |
| 30 Jan 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 21 Feb 2025 |
| 20 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 12 Dec 2024 |
| 3 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 1 Nov 2024 |
| 3 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Nov 2024 |
| 3 Oct 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 1 Nov 2024 |
| 20 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 10 Jun 2024 |
| 20 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 10 Jun 2024 |
| 18 Jan 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint investigation | 13 Feb 2024 |
| 18 Jan 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint investigation | 13 Feb 2024 |
| 18 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Feb 2024 |
| 18 Jan 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 13 Feb 2024 |
| 18 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 13 Feb 2024 |
| 18 Jan 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 13 Feb 2024 |
| 18 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 13 Feb 2024 |
| 18 Jan 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Standard survey | 13 Feb 2024 |
| 18 Jan 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 13 Feb 2024 |
| 18 Jan 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 13 Feb 2024 |
| 18 Jan 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 13 Feb 2024 |
| 18 Jan 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 13 Feb 2024 |
| 18 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Feb 2024 |
| 18 Jan 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 13 Feb 2024 |
| 18 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 13 Feb 2024 |
| 18 Jan 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 13 Feb 2024 |
| 18 Jan 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 13 Feb 2024 |
| 12 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 27 Nov 2023 |
| 12 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 27 Nov 2023 |
| 12 Oct 2023 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint investigation | 27 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Nov 2025 | Fine | $77,103 | |
| 28 Aug 2025 | Fine | $72,768 | |
| 30 Jan 2025 | Payment denial | — | 56 days |
| 30 Jan 2025 | Fine | $250,357 | |
| 20 Feb 2024 | Fine | $4,893 | |
| 26 Dec 2023 | Fine | $8,631 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Montana average. Turnover: nursing staff 74.7%, RNs 62.5%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Montana median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.5% | 18.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.6% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.6% | 1.9% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.4% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.9% | 0.6% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 32.6% | 16.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.6% | 5.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.5% | 19.5% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Billings Nursing And Rehab Center Llc. Chain: Eduro Healthcare (34 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Yellowstone County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| St John'S Lutheran Home | Billings | 186 | 4 | 3 | 5 | 40 | 21.5 | — | 1 Jul 2026 |
| Aspen Meadows Health and Rehabilitation Center | Billings | 90 | 2 | 3 | 2 | 36 | 40.0 | $115K | 26 Mar 2026 |
| Billings Rehabilitation and Nursing LLC | Billings | 100 | 2 | 2 | 2 | 52 | 52.0 | $63K | 21 May 2026 |
| River Ridge Rehabilitation and Nursing LLC | Billings | 129 | 2 | 2 | 3 | 63 | 48.8 | $81K | 15 Jan 2026 |
| Laurel Health & Rehabilitation Center | Laurel | 79 | 1 | 1 | 2 | 41 | 51.9 | $7K | 29 Jan 2026 |
| Yellowstone River Nursing and Rehabilitation | Billings | 160 | 1 | 1 | 2 | 58 | 36.3 | $143K | 6 May 2026 |
All 7 facilities in Yellowstone County
Questions and answers
How many deficiencies has Skyline Heights Nursing and Rehabilitation been cited for?
63 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Montana median is 27 per facility.
Has Skyline Heights Nursing and Rehabilitation been fined?
Yes. CMS lists fines totalling $414K in the period covered, plus 1 payment denial.
How does staffing at Skyline Heights Nursing and Rehabilitation compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Montana median of 3.9 and a national average of 3.9.
Who operates Skyline Heights Nursing and Rehabilitation?
It is part of the Eduro Healthcare chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Skyline Heights Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 23 Apr 2026; the most recent standard health survey was 12 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.